Individual
MISS SARA M CRYSTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 314-3420
Mailing address
88 AUCKLAND ST, #3, DORCHESTER, MA 02125-3327
(617) 459-0279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
430630
NY
363LA2100X
Acute Care Nurse Practitioner
F430630-1
NY
Other
Enumeration date
12/09/2011
Last updated
04/01/2022
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